Active NPI
Starberrie Nutrition
- Nutritionist
- San Francisco, CA
National Provider Identifier
1699368860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- STARBERRIE NUTRITION
- Practice address
- 2460 39TH Ave
San Francisco, CA 94116-2153 - Phone
- (818) 293-7367
- NPI assigned
- Feb 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lillie Nguyen, DCN, CNS, LDN
- Title
- Owner/Ceo
- Phone
- (818) 293-7367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2460 39TH Ave
San Francisco, CA 94116-2153
Mailing address
2460 39TH Ave
San Francisco, CA 94116-2153
Phone (818) 293-7367
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutritionist
- San Francisco, CA
- NPI 1962038216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695340800000",
"number": "1699368860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 39TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162153",
"telephone_number": "818-293-7367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 39TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941162153",
"telephone_number": "818-293-7367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARBERRIE NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-18",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "LILLIE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "818-293-7367",
"authorized_official_credential": "DCN, CNS, LDN"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.